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PHRC 5240 Pharmacodynamics IV CO01: Describe the normal and patho-physiology of the system(s) to which discussed CO01.01: Identify chemical mediators of nociception and inflammation following damage to tissues CO01.02: Describe the characteristics of pain fibers, including whether they mediate "fast" vs. "slow" pain, whether they are polymodal or not, and their localization in various body tissues CO01.03: Outline the "circuitry" of the neospinothalamic and paleo-spinothalamic pains pathways, including the type of pain they mediate and the function of each pathway in pain perception CO01.04: Contrast "nociceptive" vs. "neuropathic" pain CO01.05: Identify the three major genes which code for endogenous opioids, and list the specific opioid(s) that are products of each gene CO01.06: Discuss the basic principles of immune system activation CO01.07: Discuss the mechanisms of inflammation CO01.08: Describe the main signaling pathways and the basic physiology of the immune system (innate vs. adaptive) and of its activation CO01.09: Outline and discuss the chemistry & pharmacology of the various classes of prostanoids (prostaglandins-thromboxanes) and leukotrienes CO01.10: Discuss the effects and role(s) in disease of the various classes of prostanoids and leukotrienes CO01.11: Discuss the basic principles of osteoarthritis (OA) pathophysiology CO01.12: Describe the basic mechanisms of OA pathophysiology CO01.13: Discuss the basic principles of gout pathophysiology CO01.14: Describe the basic mechanisms of gout phathophysiology CO01.15: Identify and describe differences in the drug therapeutic approaches for acute vs. chronic gout CO01.16: Discuss the basic principles of asthma pathophysiology CO01.17: Describe the basic mechanisms of asthma pathophysiology CO01.18: Identify and describe differences in the pharmacotherapeutic approaches for acute asthma control vs. prophylactic asthma treatment CO01.19: Discuss the basic principles of chronic obstructive pulmonary disease (COPD) pathophysiology CO01.20: Describe the basic mechanisms of COPD pathophysiology CO01.21: Discuss the basic principles of pulmonary arterial hypertension (PAH) pathophysiology CO01.22: Describe the basic mechanisms of PAH pathophysiology CO01.23: Identify bacterial species that frequently appear on antibiograms in terms of morphology, gram staining, aerobic or anaerobic properties, infectious states, and status as part of normal body flora CO01.24: Define "MIC" and "MBC" and describe techniques used to obtain these values CO01.25: Compare the differences between "concentration-dependent" and "timedependent" killing of bacteria CO01.26: Discuss the usefulness of the antibiogram CO01.27: Discuss the mechanisms of resistance to the anti-infective agent PHRC 5240 Pharmacodynamics IV CO01.28: Outline the three stages of bacterial cell wall synthesis CO01.29: Identify specific steps of bacterial cell wall synthesis that are inhibited by antibiotics CO01.30: Define "beta lactam" and be able to identify this moiety if it appears in the structure of an antibiotic CO01.31: Outline the de novo synthesis of folates in microorganisms CO01.32: Outline the steps in microbial protein synthesis CO01.33: Describe common pathogenic fungi and the disease-states associate with these fungi (a list will be provided to the students by the instructor) CO01.34: Identify a particular fungal specie as being a yeast, a mold, or dimorphic CO01.35: Describe some of the common pathogenic non-HIV viruses for which specific antiviral therapy is available CO01.36: Outline the replication cycle of the HIV retrovirus especially with regard to stages of the HIV life cycle that are inhibited by currently-available HIV antivirals CO01.37: Describe the genomic structure of HIV-1, particularly with regard to the gag, pol, and env genes and their gene products CO02: Cite relevant pharmacokinetic/pharmacodynamic properties of the discussed drugs CO02.01: Discuss narcotic analgesic in terms of: potency relative to morphine, predominate opioid receptors activated/antagonized, routes of administration, oral-toparenteral ratio, adverse effects, indications, drug interactions & contraindications CO02.02: Compare the pharmacological characteristics of the mu versus kappa opioid receptor agonists CO02.03: Compare the opioid receptor antagonists in terms of their half-lives and oral bioavailabilities CO02.04: Identify pharmacological therapies that are useful in the treatment of neuropathic pain CO02.05: Discuss the pharmacokinetics of NSAIDs CO02.06: Discuss the pharmacokinetics of the various drug classes used in OA pharmacotherapy CO02.07: Discuss the pharmacokinetics of the various drug classes used in gout pharmacotherapy CO02.08: Discuss the pharmacokinetics of the various drug classes used in asthma pharmacotherapy CO02.09: Discuss the pharmacokinetics of the various drug classes used in COPD pharmacotherapy CO02.10: Discuss the pharmacokinetics of the various drug classes used in PAH pharmacotherapy CO02.11: State whether an antibiotic undergoes renal or biliary elimination(or both) CO02.12: State whether an antibiotic agent is used orally or parenterally (or both) CO03: Describe the mechanism of action of discussed drugs, including their specific CO03.01: Outline the components of the descending analgesia circuit, including endogenous mediators of the analgesic response PHRC 5240 Pharmacodynamics IV CO03.02: Explain the physiological mechanisms by which opioids are able to alter neuro-transmission in pain circuits CO03.03: List the major opioid receptor subtypes and discuss the corresponding pharmacological effects that are mediated by activation of each receptor subtype CO03.04: Cite and discuss the mechanisms of action and clinical uses of nonsteroidal anti-inflammatory drugs (NSAIDs) CO03.05: Cite and discuss mechanisms of action of the various drug classes used in OA pharmacotherapy CO03.06: Cite and discuss the mechanisms of action and clinical uses of the various drug classes used in (both acute and chronic) gout pharmacotherapy CO03.07: Cite and discuss the mechanisms of action and clinical uses of the various drug classes used in asthma pharmacotherapy (both for acute episode control and for chronic, prophylactic treatment) CO03.08: Cite and discuss the mechanisms of action and clinical uses of the various drug classes used in COPD pharmacotherapy CO03.09: Cite and discuss the mechanisms of action and clinical uses of the various drug classes used in PAH pharmacotherapy CO03.10: State the mechanism of action of an anti-infective agent CO03.11: Describe the general antimicrobial spectrum of the agent CO03.12: Cite special coverages (e.g., when the anti-infective agent is a drug of choice for a particular microorganism) CO04: Describe organ system effects of the discussed drugs CO04.01: Describe the CNS and peripheral pharmacological effects of morphine CO04.02: Describe opioid tolerance and dependence CO05: Cite idiosyncratic and pharmacologically-based side effects of discussed drugs CO05.01: Describe specific manifestations of opioid withdrawal CO05.02: Discuss the side effects and contraindications of NSAIDs CO05.03: Discuss the side effects and contraindications of the various drug classes used in OA pharmacotherapy CO05.04: Describe the side effects and contraindications of the various drugs used in gout pharmacotherapy CO05.05: Describe and discuss the side effects and contraindications of the various drugs used in asthma pharmacotherapy CO05.06: Describe and discuss the side effects and contraindications of the various drugs used in COPD pharmacotherapy CO05.07: Describe and discuss the side effects and contraindications of the various drugs used in treating PAH CO05.08: Describe the adverse effects of the anti-infective agent CO06: Identify the clinical role of discussed drugs in therapy CO06.01: Discuss the role of opioid antagonists in opioid overdose (detoxification) and abuse prevention CO06.02: Discuss the clinical uses of the various classes of prostanoids and leukotrienes PHRC 5240 Pharmacodynamics IV CO06.03: Cite and discuss clinical uses of the various drug classes used in OA pharmacotherapy CO06.04: Identify and describe differences in the pharmacotherapeutic approaches for the treatment of asthma vs. COPD CO06.05: Cite the therapeutic uses of the anti-infective agent CO07: Identify potential and known drug interactions CO07.01: Discuss the interactions with other (non-NSAID) drugs and with other NSAIDs CO07.02: Discuss the interactions with other drugs and with each other of the various drug classes used in OA pharmacotherapy CO07.03: Describe and discuss the interactions with other drugs and with each other of the various drugs used in gout pharmacotherapy CO07.04: Cite and discuss the interactions with other drugs and with each other of the various drug classes used in asthma pharmacotherapy CO07.05: Cite and discuss the interactions with other drugs and with each other of the various drug classes used in COPD pharmacotherapy CO07.06: Cite and discuss the interactions with other drugs and with each other of the various drug classes used in PAH pharmacotherapy CO07.07: Discuss the drug interactions associated with the anti-infective agent, if any CO08: Cite contraindications associated with the use of a drug CO08.01: Cite any contradictions to the use of the anti-infective agent